ANDREW PETER DALOVISIO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056884

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

PETER

Last Name

DALOVISIO

Business Name

ANDREW PETER DALOVISIO MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Hematology and Oncology

Ever Disciplined

LastModifiedDate

03/24/2014